Psoriasis vulvae

Czech version

Authors: L. Jarošová ¹; D. Driák ¹; Borek Sehnal ^1,2; D. Kacerovská ³
Authors‘ workplace: Gynekologicko-porodnické oddělení, Nemocnice Neratovice ¹; Gynekologicko-porodnická klinika 1. LF UK Praha a FN Bulovka, Praha ²; Bioptická laboratoř, s. r. o., Plzeň ³
Published in: Ceska Gynekol 2022; 87(5): 324-327
Category: Case Report
doi: https://doi.org/10.48095/cccg2022324

Overview

Objective: Case presentation, differential diagnostic, possible therapeutic procedure and a brief literature report. Case report: An 84-year-old woman was repeatedly examined for chronic extended dermatologic lesion on lower abdomen, external genitals, perianal region, groin and adjacent inner thighs. Conclusion: Neither colposcopy with dermatovenerologic consultation, nor histopathological examination led to a precise conclusion. Only a special dermatopathologic expertise showed a diagnosis of inverse psoriasis with suggested therapy.

Keywords:

Psoriasis – vulval lesion

Sources

1. Andreassi L, Bilenchi R. Non-infectious inflammatory genital lesions. Clin Dermatol 2014; 32 (2): 307–314. doi: 10.1016/j.clindermatol. 2013.08.015.

2. Citterbart K et al. Gynekologie. 1. vyd. Praha: Galén 2001.

3. Kolm I. Inflammatory disease of the vulva – dermatologist`s point of view. Praxis 2019; 108 (16): 1085–1090. doi: 10.1024/1661-8157/ a00330.

4. Moyal-Barracco M, Wendling J. Vulvar dermatosis. Best Pract Res Clin Obstet Gynaecol 2014; 28 (7): 946–958. doi: 10.1016/j.bpobgyn. 2014.07.005.

5. Savas JA, Pichardo RO. Female genital itch. Dermatol Clin 2018; 36 (3): 225–243. doi: 10.1016/j.det.2018.02.006.

6. Kamiya K, Kishimoto M, Sugai J et a. Risk factors for the development of psoriasis. Int J Mol Sci 2019; 20 (18): 4347. doi: 10.3390/ijms20184347.

7. Semrádová V. Psoriáza, doporučený postup pro praktické lékařství. 2001 [online]. Dostupné z: https: //www.revmaticke-nemoci.cz/dokumenty/psoriaza_doporuceny_postup.doc.

8. Štork J et al. Dermatovenerologie. 1. vyd. Praha: Galén 2008.

9. Griffiths CE, Barker JN. Pathogenesis and clinical features of psoriasis. Lancet 2007; 370 (9583): 263–271. doi: 10.1016/S0140-6736 (07) 61128-3.

10. Oji V, Luger TA. The skin in psoriasis: assessment and challenges. Clin Exp Rheumatol 2015; 33 (5 Suppl 93): S14–S19.

11. Kapila S, Bradford J, Fischer G. Vulvar psoriasis in adults and children: a clinical audit of 194 cases and review of the literature. J Low Genit Tract Dis 2012; 16 (4): 364–371. doi: 10.1097/LGT.0b013e31824b9e5e.

12. Filho LL, Lopes IM, Lopes LR et al. Mammary and extramammary Paget`s disease. An Bras Dermatol 2015; 90 (2): 225–231. doi: 10.1590/abd1806-4841.20153189.